1. Home
  2. Directory
  3. Nebraska
  4. Mc Cook
  5. Physician Assistant
  6. NPI Profile

MARY A HALLER PA
NPI 1396769857
Physician Assistant - Medical in Mc Cook, NE

Active since July 27, 2006PECOS Enrolled
1401 E H ST, MC COOK, NE 69001(308) 344-4110(308) 344-8369 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary A Haller Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY A HALLER PA (NPI 1396769857) is an individual medical provider in Mc Cook, Nebraska, licensed in Nebraska (515) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396769857
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY A HALLERCredential: PA
Location Address1401 E H STMc Cook, NE 69001-3589
Mailing Address1401 E H StMc Cook, NE 69001-3589 · (308) 344-4110 · Fax (308) 344-8369
Phone(308) 344-4110
Fax(308) 344-8369
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 30, 2013
✔ NPI 1396769857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NE · 515
Also ListedPhysician AssistantTaxonomy 363A00000X · License 02300010101 (NY), 10210 (MN)
1401 E H ST, Mc Cook, NE 69001
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP01786NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary A Haller Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers27 claims27 services$6.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY SUE TAYLOR PA-C
Physician Assistant
1401 E H ST
MC COOK, NE 69001
Red Willow County (308) 344-4110
CHARLES F DAMICO MD PC
Urology
1401 E H ST
MCCOOK, NE 69001
Red Willow County (308) 345-3074
RICHARD KLUG M.D.
Family Medicine
1401 E H ST
MC COOK, NE 69001
Red Willow County (308) 344-4110
DAVID J POWELL PA-C
Physician Assistant
1401 E H ST
MC COOK, NE 69001
Red Willow County (308) 344-4110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Haller's NPI number?

The NPI number for Mary Haller is 1396769857. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Mary Haller located?

Mary Haller practices at 1401 E H St, Mc Cook, NE 69001. The listed phone number is (308) 344-4110.

What is Mary Haller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Haller enrolled in Medicare?

Yes. Mary Haller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Haller was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.